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1750862538
ELYJAH WIRTH
SAN DIEGO, CA
NPI
1750862538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
Mr. ELYJAH WIRTH
501 W BROADWAY STE 800
SAN DIEGO, CA 92101-3546
Phone number: 888-880-9270
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Mailing Address
Mr. ELYJAH WIRTH
500 FAIRWAY DR STE 102
DEERFIELD BEACH, FL 33441-1817
Phone number: 888-880-9270
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